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ACA Eligibility Process

ACA Eligibility Process. Vision for Eligibility. No wrong door Seamless Streamlined. No Wrong Door. Access to all insurance affordability programs regardless of where consumers apply One application for all IAPs Multiple ways to apply: online, phone, in-person. Seamless.

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ACA Eligibility Process

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  1. ACA Eligibility Process

  2. Vision for Eligibility • No wrong door • Seamless • Streamlined

  3. No Wrong Door • Access to all insurance affordability programs regardless of where consumers apply • One application for all IAPs • Multiple ways to apply: online, phone, in-person

  4. Seamless • No “ping ponging” between programs • Seamless hand-offs between interconnected systems that take place behind the scenes • Transitions between programs without gaps

  5. Streamlined • Heavy reliance on electronic data for verification • Renew coverage based on information already available • “Real time” eligibility determinations

  6. Potential Eligibility Models

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